JODI GAYLE LAKE


Address: 2523 Lorentson Ct, Kokomo, IN 46901
Phone: 7652529909

JODI GAYLE LAKE (NPI# 1457826869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457826869
Entity Type Individual
Full Name JODI GAYLE LAKE
Practice Address 2523 Lorentson Ct
Kokomo
IN 46901
Mailing Address 2523 Lorentson Ct
Kokomo
IN 46901-7089
Practice Telephone 7652529909
Enumeration Date 2018-10-11
Last Update Date 2018-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2523 LORENTSON CT
City KOKOMO
State IN
Zip Code 46901

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1922607597 Momentum Kokomo, LLC Substance Abuse Rehabilitation Facility 1236 N. Wabash Ave, Kokomo, IN 46901 2020-10-23
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1063642916 Michelle K Rush Speech-Language Pathologist 2532 Lauren Ln, Kokomo, IN 46901 2009-07-24
1396957189 Lifetime Dental Care of In, PC Dentist 927 S Washington St, Kokomo, IN 46901 2007-05-04
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023620598 Sarah C Dennis Developmental Therapist 1809 Columbus Blvd, Kokomo, IN 46901-1871 2020-08-17
1245848746 Bayley Brutus Developmental Therapist 3149 Congress Dr, Kokomo, IN 46902-8032 2020-07-21
1235760182 Rhaye Ann M Robinson Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2020-01-29
1760026884 Cristina Hudepohl Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2019-10-31
1114497021 Brandy Tennille Strubell Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2018-12-04
1366910721 Marissa Wells Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2018-11-05
1780151761 Rachel Mcknight Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2018-10-29
1629544663 Joy Elaine Ruse Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2018-10-17
1083907943 Brenda Webster Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2011-05-25
1538492087 Melanie A Piske Developmental Therapist 1220 Laguna St, Kokomo, IN 46902-2330 2009-09-16
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Competitor

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City KOKOMO
Zip Code 46901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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